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Teen Girls at Higher Risk for ACL Tears
You Should Know: A torn anterior cruciate ligament (ACL) is an all-too familiar injury for athletes — even in the best of the best, like Tom Brady, Megan Rapinoe, and Lindsay Vonn. But they’re also increasingly common in young athletes — especially girls, who are three to six times more likely to tear their ACL than boys.
Going Deeper: Anatomical and physiological differences play a major role. Female knees tend to be “looser” with less range of motion and protective muscle mass — and they often turn inward during quick movements, increasing risk of a tear. Girls also have wider hips and shorter thighs, and hormonal shifts during menstruation can further loosen ligaments, raising injury risk.
Takeaway: External factors are also to blame. More girls now play sports year-round, increasing wear and tear. Yet strength training is often introduced later and deprioritized in girls’ sports, making preventative conditioning less common. Cleats for girls also frequently aren’t designed for a female foot — they are shaped differently and don’t absorb shock the same way male feet do.
Bottom Line: Preventing ACL tears is possible for young athletes: regular 20-minute prevention warm-ups, such as FIFA 11+ or the PEP Program, can reduce ACL tears by 50% to 80% when consistently incorporated into training.
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What is important here: Girls are anatomically less prepared for these kinds of sports not because they are girls but because their strength training starts later in their careers than the boys.
They can do any sport but prevention is key. ACL tears can be reduced, just give them muscle training.
All girls should be involved in sports and should be encouraged to be athletic all of their whole lives!
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